Individual
JOHANNAH MARIE CACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
29 MAPLE ST, LITTLETON, NH 03561-4729
(603) 444-5358
Mailing address
29 MAPLE ST, LITTLETON, NH 03561-4729
(603) 444-5358
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
077905-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
077905-23
NH
Other
Enumeration date
10/21/2019
Last updated
07/25/2023
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